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1548695737
MICHAEL M NELSON
TACOMA, WA
NPI
1548695737
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: WA P1 60278671)
Enumeration Date
2013-09-06
Last Update Date
2013-09-06
Business Address
-- MICHAEL M NELSON PTA
6004 WESTGATE BLVD STE 220
TACOMA, WA 98406-2503
Phone number: 253-759-4065
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Mailing Address
-- MICHAEL M NELSON PTA
8429 S G ST
TACOMA, WA 98444-6316
Phone number: 253-226-7762
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